| NPI | 1154487627 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: LA 17828) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: LA MD.017828) |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2022-08-08 |